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Leveraging a Province-Wide Electronic Health Record System to Integrate Health Promotion into Routine Hospital-based
Kamala Adhikari1,2, Gary F Teare2
1Cancer Prevention and Screening Innovation, Primary Care Alberta (formerly: Provincial Population and Public Health, Alberta Health Services), CA.
International Journal of Integrated Care
|August 8, 2026
Summary
The Integrating Prevention into Connect Care for Health (IPiC-Health) initiative uses a Screening, Brief Intervention, and Referral (SBIR) approach to promote health behavior change. This study evaluates the implementation and effectiveness of SBIR in routine care.
Area of Science:
- Public Health
- Health Services Research
- Behavioral Science
Background:
- The Integrating Prevention into Connect Care for Health (IPiC-Health) initiative aims to integrate health promotion strategies into healthcare.
- It utilizes a Screening, Brief Intervention, and Referral (SBIR) approach to address behaviors like tobacco and alcohol use and physical inactivity.
- This is facilitated by a province-wide electronic clinical information system in Alberta.
Purpose of the Study:
- To evaluate the implementation and effectiveness of the SBIR intervention within routine inpatient and ambulatory care.
- To strengthen evidence and provide guidance for scaling up the SBIR approach.
- To assess the impact of readily available electronic records of patient risk factors on care decisions and population health.
Main Methods:
- An effectiveness-implementation hybrid study employing a quasi-experimental design.
- Quantitative assessment of SBIR implementation (adoption, coverage) and effectiveness (behavior change, health service use).
- Mixed methods are used to evaluate implementation uptake, process, and participant experience, with a 12-month follow-up for effectiveness outcomes.
Main Results:
- Recruitment and data collection are currently in progress across participating sites.
- The study is generating data on the adoption and effectiveness of the SBIR approach.
- Preliminary findings are expected to inform future implementation strategies.
Conclusions:
- The IPiC-Health initiative and its evaluation are crucial for advancing health promotion in clinical settings.
- This research will contribute valuable evidence for the widespread adoption of SBIR.
- Electronic health records are vital for supporting informed care decisions and improving population health outcomes.
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